COI - West Coast Cranes, Inc. - Expires 2022-04-27A� & CERTIFICATE OF LIABILITY INSURANCE MIDDfYYYY ° 9�15/2021 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Molly McCarthy PHONE FAX tsos> 9ai-sole AIC o Ext : AIC No): Emery & Karrigan Inc. 9880 SW Beaverton Hillsdale HWY E-MAIL ADDRESS: g essicav@eme karri an.com INSURERS AFFORDING COVERAGE NAIC # Suite 202 INSURERA:Gotham Insurance Company 25569 Beaverton OR 97005 INSURED INSURER B :New York Marine & General Co 16608 INSURER C. Insurance CompanV of the West 27847 West Coast Cranes, Inc. INSURER D : Indian Harbor Ins Co 36940 2144 O'Toole Ave INSURER E : INSURER F : San Jose CA 95131 COVERAGES CERTIFICATE NUMBER:21/22 Certificates REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADOL SUBR POLICY NUMBER POLICY EFF MM/DDIYYYYI POLICY EXP IMMIDD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a EACH OCCURRENCE S 1,000,000 PREMOCCUR DAMAGE ENTED PREMISES Ea occurrence S 50,000 X MED EXP (Any one person) S 5,000 Hook Liability X GL202100014244 4/27/2021 4/27/2022 X Over the Road PERSONAL & ADV INJURY S 1,000,000 MOBILE EQUIPMENT GEN'L AGGREGATE LIMIT APPLIES PER POLICY 7 PRO JECT ❑ LOC GENERAL AGGREGATE S 2,000,000 *Capped at $5,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 Employee Benefits S 1,000,000 OTHER I AUTOMOBILE LIABILITY EOMaBINdetDSINGLE LIMIT S 1,000,000 BODILY INJURY (Per person) S B ANYAUTO ALL OWNED X SCHEDULED AUTOS AUTOS AU202100018316 4/27/2021 4/21/2022 BODILY INJURY (Per accident) $ NON -OWNED X HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident S S UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 5,000,000 X AGGREGATE S 5,000,000 A EXCESS LIAB CLAIMS -MADE DED X I RETENTION S 0 S X EX202100002854 4/27/2021 4/27/2022 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE El OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA WVE 5031225 06 9/18/2021 9/18/2022 X I PER STATUTE ERH E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 It yes. describe under E.L. DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS below D 2nd Layer Excess SXS004575405-01 4/27/2021 4/27/2022 Each Occurance 5,000,000 Aggregate 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) County of Gilroy is named as additional insured when required by written contract per the attached endorsement. Excess policy is follow form over the General, Auto, and Employer Liability policies, including Hook Liability. CERTIFICATE HOLDER CANCELLATION annuals@adkpermits.com County of Gilroy 7351 Rosanna Street Gilroy, CA 95020-6141 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) INS025 (201401) Rick Emery/SJR ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD